Registration Form

Personal fitness and wellness history, goal and waiver.
  • Thank you for sharing your personal information and story.

    In checking the box below I agree with the following liability release: I understand and agree that I am solely responsible for my participation in Mary Dove Yoga classes and/or yoga therapy sessions . I understand that Mary Dove is not diagnosing, prescribing and/or treating during these classes or sessions. I agree to consult a health care practitioner about any concern that I may have about pain or dysfunction and to advise Mary Dove of such concerns. In participating in these classes, I accept full responsibility for performing only those movements and activities that support and do not jeopardize my health and well being. I understand that participating in these classes carries a risk of injury, as do all physical activities. I agree to hold Mary Dove harmless from any and all responsibilities for any injury which I may sustain during or as a result of my yoga classes or yoga therapy sessions.
  • Date Format: MM slash DD slash YYYY
    By selecting the "I Accept" button, you are signing this Agreement electronically.